Active NPI
Lisa Ann Price, DC
- Chiropractor
- Saint Clair Shores, MI
National Provider Identifier
1043369283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007530
- Practice address
- 31012 Harper Ave
Saint Clair Shores, MI 48082-1545 - Phone
- (586) 350-0400
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007530 | MI | Primary |
Addresses
Primary practice location
31012 Harper Ave
Saint Clair Shores, MI 48082-1545
Mailing address
31012 Harper Ave
Saint Clair Shores, MI 48082-1545
Phone (586) 350-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950E053390 | Other | MI | BCBSMI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
31012 Harper Ave
Saint Clair Shores, MI 48082-1545
Phone (586) 350-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007530 | MI | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Roseville, MI
- NPI 1861992075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1043369283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31012 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480821545",
"telephone_number": "586-350-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31012 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480821545",
"telephone_number": "586-350-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMI",
"identifier": "950E053390",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
- Vasilios Pozios, MD
- Kailei Marie Prazuch
- Premier Vascular Associates, PLLC
- Sarah Press, DNP, CRNA
- Preventive Cardiovascular Institute PLLC
- Sara Prigorac, MS OTRL
- Primary Care Associates Group PC
- Primary Care Nurses Home Healthcare LLC
- Professional Dental Alliance of Michigan, LLC
- Professional Dietitian Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.